Active NPIIndividual provider

Dr. Edmontz Alectus, MD

General Practice in West Orange, New Jersey

NPI Number1225659022
Practice location
43 Liberty St, West Orange, NJ 07052-5501
Fax
—
Last updated
July 22, 2020

Edmontz Alectus is a General Practice based in West Orange, NJ. Edmontz Alectus practices in West Orange, NJ and has the professional credentials of MD. The NPI Number for Edmontz Alectus is 1225659022 and holds a License No. 26NP06961300 (NJ). The current practice location address for Edmontz Alectus is 43 Liberty St, West Orange, NJ 07052-5501 and can be reached out via phone at 862-291-6468.

Provider Profile Details

NPI Number
1225659022
Provider Name
Edmontz Alectus
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
43 Liberty St, West Orange, NJ 07052-5501
Phone Number
862-291-6468
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
No
Provider Enumeration Date
May 3, 2020
Last Update Date
July 22, 2020
Certification Date
July 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
43 Liberty St
West Orange, NJ 07052-5501
Zip
07052-5501
Phone Number
862-291-6468
West Orange, NJ 07052Get directions →

Provider Business Mailing Address Details

Address
43 Liberty Street
West Orange, NJ 07052
City
West Orange
State
NJ
Zip
07052

License Information

License Number
26NP06961300
License State
NJ
Taxonomy
General Practice · 208D00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Edmontz Alectus, MD?

The NPI number of Dr. Edmontz Alectus, MD is 1225659022. It was assigned on May 3, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Edmontz Alectus, MD?

Dr. Edmontz Alectus, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in NJ under license number 26NP06961300.

Where does Dr. Edmontz Alectus, MD practice?

The practice location is 43 Liberty St, West Orange, NJ 07052-5501. The office can be reached at 862-291-6468 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225659022 directly on the NPPES registry website.

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